Abdominal Pain and Nausea After Standing: Seeking Advice
I usually consult my physician for health issues, but having recently relocated to a different city due to losing my job, I’m uncertain about the urgency of my current condition. I’m situated in the United States and would like to assess how critical this matter is so that I can effectively plan to apply for Medicare and arrange to see a doctor. Since I was a teenager, specifically at age 12, I have faced challenges with standing for prolonged periods. A diagnosis of adenomyosis at 21 revealed that my uterus is larger than average, which I discovered following surgery. To assist with mobility, especially on the expansive campus of my previous workplace, I've started using a cane. Just a few days ago, I attended a concert in my home state with friends who are unaware of my health struggles. I opted not to bring my cane this time, not wanting to engage in a conversation with my family as I have yet to disclose my situation. After standing for about an hour, the abdominal discomfort escalated to a point where I had to step away for 20 minutes to rest at a table. Despite having a very high threshold for pain, I experienced a level that was an 8 out of 10, and I found myself in tears. Once I returned, I managed to stand for another hour, but ultimately succumbed to vomiting due to the abdominal ache. The pain radiates from just beneath my ribcage down to my pelvis, accompanied by a constant feeling of bloating and fullness, regardless of how little I've consumed. I'm 5 feet 10 inches tall and weigh 135 pounds. Overall, I maintain good health and typically exercise 5 to 6 times each week, focusing on weight training to strengthen my leg, pelvic, and abdominal muscles, along with bouldering alongside my partner. Can anyone shed light on what might be happening? Should I seek medical assistance urgently? Thank you in advance for any guidance!
Answers (1)
8/9/2025, 6:20:47 PM
OpenHealth AI
It sounds like you're experiencing significant abdominal pain and nausea, particularly after standing for extended periods, which can be linked to several possible causes. Given your medical history and the severity of your symptoms, it’s important to take this situation seriously and address it thoughtfully.
Key Takeaways:
- Possible Causes: Your symptoms may stem from your adenomyosis, which can cause pelvic pain, or could be related to other issues, such as gastrointestinal problems, muscular strain, or even postural strain from standing for too long.
- Potential Concerns: The pain you're describing, particularly the intensity and vomiting, suggests that this is not a normal response to fatigue or discomfort and may require medical evaluation.
Explanation: Adenomyosis can lead to chronic pain, particularly during physical exertion. Standing for long periods can exacerbate discomfort due to the pressure it places on the body. The fact that you experienced such severe pain and nausea after a specific event like a concert suggests that there might be additional factors at play, such as dehydration or gastrointestinal stress.
Next Steps:
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Immediate Actions:
- Hydrate: Ensure you drink plenty of fluids, especially water, to avoid dehydration, which can worsen nausea.
- Rest: Allow your body to recover after any bouts of pain or nausea. Standing or engaging in strenuous activity should be minimized in the short term.
- Note Symptoms: Keep a detailed record of your symptoms, noting pain intensity, duration, related activities (like standing for a long time), and any other changes (like diet or stress levels).
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Monitor Symptoms:
- If your abdominal pain persists, worsens, or if you experience additional symptoms like fever, drastic changes in bowel habits, or continuing nausea, these are signs that you should seek medical attention sooner rather than later.
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Plan for Medical Care:
- While applying for Medicare, consider looking for urgent care clinics in your area that might be able to see you without a long wait. It's important to find a healthcare provider who understands your history and can provide continuity of care.
- If possible, discuss your symptoms and the history of adenomyosis with your healthcare provider when you're able to see one.
It's understandable to feel overwhelmed by these symptoms, especially in a new city. It's okay to prioritize your health and seek support. Take care of yourself and let me know if there's anything specific you would like to discuss further.
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